Provider Demographics
NPI:1366493926
Name:VALLEY IMAGING PARTNERS, LLC
Entity Type:Organization
Organization Name:VALLEY IMAGING PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-756-8911
Mailing Address - Street 1:799 NEW HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-4762
Mailing Address - Country:US
Mailing Address - Phone:203-723-8470
Mailing Address - Fax:203-723-0640
Practice Address - Street 1:799 NEW HAVEN RD
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-4762
Practice Address - Country:US
Practice Address - Phone:203-723-8470
Practice Address - Fax:203-723-0640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004231213Medicaid
CT004231213Medicaid